Margo Jimenez
Individual provider Active NPI Pharmacy Technician · Lytle, TX
NPI 1740879162 · NPPES record last updated Jan 11, 2021
Key facts
- NPI
- 1740879162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 159144 (TX)
- Practice address
- 19337 McDonald St
Lytle, TX 78052-3622 - Phone
- (830) 772-5748
- NPI assigned
- Jan 11, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 159144 | TX | MD | Pharmacy Technician |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 159144 | TX | Yes |
Addresses
Primary practice location
19337 McDonald St
Lytle, TX 78052-3622
Mailing address
19337 McDonald St
Lytle, TX 78052-3622
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | na |
Other providers in Lytle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.